Continuing Professional Development Questions Pressure injury prevalence in intensive care versus non-intensive care patients: A state-wide comparison. '

2017 ◽  
Vol 30 (5) ◽  
pp. 251
Keyword(s):  
Professional Development ◽  
Intensive Care ◽  
Continuing Professional Development ◽  
Intensive Care Patients ◽  
Pressure Injury

scholarly journals Should Ongoing Airway Education be a Mandatory Component of Continuing Professional Development for College of Intensive Care Medicine Fellows?

2018 ◽  
Vol 46 (2) ◽  
pp. 190-196 ◽  
Author(s):  
D. J. Brewster ◽  
C. P. Nickson ◽  
J. J. Gatward ◽  
M. Staples ◽  
F. Hawker
Keyword(s):  
Professional Development ◽  
Intensive Care ◽  
Intensive Care Medicine ◽  
Continuing Professional Development ◽  
The Past ◽  
Full Compliance ◽  
Advanced Airway ◽  
Collection Data ◽  
Airway Equipment ◽  
Skills Education

This study aimed to determine whether airway education should be introduced to the continuing professional development (CPD) program for College of Intensive Care Medicine (CICM) Fellows. A random representative sample of 11 tertiary intensive care units (ICUs) was chosen from the list of 56 units accredited for 12 or 24 months of CICM training. All specialist intensive care Fellows (n=140) currently practising at the eleven ICUs were sent the questionnaire via email. Questionnaire data collection and post-collection data analysis was used to determine basic respondent demographics, frequency of certain airway procedures in the past 12 months, confidence with advanced airway practices in ICU, participation in airway education in the past three years, knowledge of can't intubate, can't oxygenate (CICO) algorithms, preference for certain airway equipment/techniques, and support for required airway education as a component of the CICM CPD program. All responses were tabled for comparison. Data was analysed to establish any significant effect of another specialty qualification and current co-practice in anaesthesia on volume of practice, confidence with multiple airway procedures, use of airway equipment, and support for airway education. In total, 112 responses (response rate 80%) to the questionnaire were received within four weeks; 107 were completed in full (compliance 96%). All results were tabled. There is currently widespread support amongst CICM Fellows for airway skills education as a CPD requirement for CICM Fellows. Volumes of practice and confidence levels with different airway procedures vary amongst Fellows and further support the need for education.

scholarly journals THE EFFECT OF MASSAGE ON THE PREVENTION OF COMPRESSION STOCKINGASSOCIATED PRESSURE INJURY IN INTENSIVE CARE PATIENTS

2021 ◽  
pp. 97-100
Author(s):  
Sena Şükran Gura ◽  
Yazile Yazici Sayin
Keyword(s):  
Intensive Care ◽  
Clinical Characteristics ◽  
Intensive Care Patients ◽  
Superficial Skin ◽  
Significant Difference ◽  
Massage Group ◽  
Pressure Injury ◽  
Quasi Experimental ◽  
Protective Care ◽  
Care Period

AIM:Effect of massage on prevention of antiembolic stockings- associated pressure injury (AES-API). MATERIALS AND METHODS: It is a quasi-experimental design design. The massage group (n=30) received skin massage and skin protective care with a moisturizer at least 3 times or at every change of position (every 2 hours a day) in a day during the period they wore AES.The nonmassage group(n=39),no massage was performed. RESULTS: There was no significant difference between the sociodemographic and clinical characteristics of the massage group and nonmassage groups during ICU admission. The duration of AES use in the massage group was longer than that of the nonmassage group during the treatment and care period (p>0.05). However, AES-API only observed in the nonmassage group (n=5;12.8%). CONCLUSION:The short superficial skin massage may beneficial for its prevention for AES-API.

scholarly journals Wound Team Clinical Skin Rounding in the Intensive Care Unit to Decrease Hospital Acquired Pressure Injury Rates

2016 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Intensive Care ◽  
Staging System ◽  
The United States ◽  
Advisory Panel ◽  
Current Standard ◽  
Injury Rates ◽  
Intensive Care Patients ◽  
Pressure Injury ◽  
Hospital Acquired ◽  
Nursing Quality

Hospital Acquired Pressure Injuries (HAPI) reflects upon nursing care effectiveness and is seen as a nursing quality outcome measure. HAPIs are a global concern due to many factors and contribute to an increase in treatment costs, increase length of stay, possible litigation, and reimbursement issues. HAPIs are seen as a preventable adverse event as identified by Centers for Medicare and Medicaid services (CMS). Data gathered before initiation of this project indicated that within a 12-month period both the MICU and SICU demonstrated a HAPI rate of 47% of the total HAPI occurrences in the hospital. Goal Statement: Among intensive care patients would daily clinical skin assessment rounding, done with a wound nurse expert and bedside nurse, versus current standard practice, decrease Hospital Acquired Pressure Injuries rates? Utilizing the Evidence-Based Practice Institute Conceptual Model, as well as the United States National Pressure Ulcer Advisory Panel Staging System as a guide for this project, the certified wound expert rounded on each patient with the assigned critical care nurse and made focused Head-to-Toe assessments. Informal teaching by the wound expert was provided at the bedside with instruction on pressure relieving interventions, HAPI risk factors, and proper identifiable staging. Assessment of 450 patients demonstrated no identified stage II or greater HAPIs and a clinically relevant reduction in the incidence of pressure injuries during the project period. Benefits to patients included improved skin surveillance and early HAPI detection. An educational focus on Medical-Device Related HAPIs should be considered in future projects.

scholarly journals Estratégias para o fortalecimento da cultura de segurança em unidades de terapia intensiva [Strategies for strengthening safety culture in intensive care units] [Estrategias para el fortalecimiento de la cultura de seguridad en unidades de cuidados intensivos]

2019 ◽  
Vol 27 ◽  
pp. e38670
Author(s):  
Catharine Silva de Souza ◽  
Jamila Geri Tomaschewski-Barlem ◽  
Graziele De Lima Dalmolin ◽  
Thiago Lopes Silva ◽  
Bruna Ruoso da Silva Neutzling ◽  
...  
Keyword(s):  
Professional Development ◽  
Patient Safety ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Continuing Professional Development ◽  
Patient Safety Culture ◽  
Study Data ◽  
Structured Interviews ◽  
Terapia Intensiva

Objetivo: identificar estratégias de promoção que contribuam para o fortalecimento da cultura de segurança do paciente em unidades de terapia intensiva. Método: estudo qualitativo, descritivo, realizado com cinco médicos, cinco enfermeiros e 24 técnicos de enfermagem atuantes em unidades de terapia intensiva de duas instituições hospitalares do sul do Brasil em 2016. A coleta dos dados foi realizada por meio de entrevistas semiestruturadas e o tratamento, pela análise textual discursiva. A pesquisa foi aprovada por Comitê de Ética em Pesquisa. Resultados: emergiram três categorias: implementação de protocolos de segurança do paciente; envolvimento institucional e multiprofissional; e segurança do paciente na educação permanente. Conclusão: os profissionais de saúde consideram a implementação de protocolos na assistência à saúde, a inclusão da temática da segurança na educação permanente e o envolvimento da instituição, bem como da equipe multiprofissional, como as principais estratégias para promover e fortalecer a cultura de segurança do paciente.ABSTRACTObjective: identify promotion strategies that contribute to strengthening patient safety culture in intensive care units. Method: in this qualitative, descriptive study, data were collected in 2016 by semi-structured interviews of five physicians, five nurses and 24 nursing technicians working in intensive care units at two hospitals in southern Brazil, and analyzed using discursive textual analysis. The study was approved by the research ethics committee. Results: three categories emerged: implementation of patient safety protocols; institutional and multi-professional involvement and patient safety in continuing professional development. Conclusion: health personnel considered the implementation of health care protocols, the inclusion of safety as a topic in continued professional development and the involvement of both the institution and the multi-professional team to be the main strategies for promoting and strengthening patient safety culture.RESUMENObjetivo: identificar estrategias de promoción que contribuyan al fortalecimiento de la cultura de seguridad del paciente en unidades de cuidados intensivos. Método: estudio cualitativo, descriptivo, realizado junto a cinco médicos, cinco enfermeros y 24 técnicos de enfermería que trabajan en unidades de cuidados intensivos de dos instituciones hospitalarias del sur de Brasil, en 2016. La recolección de los datos se realizó por medio de entrevistas semiestructuradas y el tratamiento de los datos por el análisis textual discursivo. La investigación fue aprobada por Comité de Ética en Investigación. Resultados: surgieron tres categorías: implementación de protocolos de seguridad del paciente; participación institucional y multiprofesional y seguridad del paciente en la educación permanente. Conclusión: los profesionales de la salud consideran la implementación de protocolos en la asistencia a la salud, la inclusión de la temática de la seguridad en la educación permanente y la participación de la institución, así como del equipo multiprofesional, como las principales estrategias para promover y fortalecer la cultura de seguridad del paciente.

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